Where do physician assistants fit into the organizational chart within hospitals? How are PAs categorized within the organization? Are they considered allied health staff with no vote on hospital issues, or are they medical staff with a voice? Host Lisa Dandrea Lenell and Patrick Killeen, director at large on the American Academy of Physician Assistants' board of directors, tackle the difficult issue of the evolving role of the PA within a large hospital setting. They discuss the importance of having PAs serve within the administration and the challenges of achieving that goal.